Vice President - Payer Development
Working with the Chief Access Officer, the VP, Payer Development will lead contracting activity and representation of the organization to payer, and similar, institutions. The role affects the great majority of enterprise revenues directly and presents the opportunity to broaden access to the enterprise, thereby directly influencing results. Will serve as an internal and external contract negotiation advisor and architect to ensure the structure and design of any arrangement constructed will enhance and strengthen Cancer Treatment Centers of America (CTCA) position.
The VP, Payer Development is one of the primary leaders at CTCA responsible for the continued development of new business opportunities within the healthcare market. With a primary focus on strategically significant (enterprise) payers, the successful executive will be expected to possess notable knowledge, credibility and significant senior level executive relationships within the health benefits industry along with the strategic business development skills necessary to personally lead negotiations. As a key executive within the company, this individual will be expected to broadly participate in projects, planning, and events that are important to our business and our culture.
Responsible for the pursuit of new business growth; key market channels include payers, employer groups, and integrated health systems as well as:
Lead the business development effort and client acquisition strategy for CTCA
Manage existing and new customer relationships.
Maximize channel-marketing opportunities to optimize patient volumes.
Oversee certain operational aspects of contracted relationships.
Working with direct staff and through matrixed resources across the enterprise.
Develop and lead key partner and critical third party relationships
Education and Experience:
10 years direct managed care experience (either hospital or payer based)
Understanding of core reimbursement methodologies used for insurer contracting
Experience with pay-for-performance contracting methodologies
Strong healthcare experience; integrated healthcare (payer, provider and patient)
10 years of business development and/ orHealthcare operations experience
10 plus years of notable Healthcare and Business Development experience marked by proven success with senior level relationship development, thought leadership, revenue and business generation
Demonstrated ability to lead cross-functional enterprise conversations;
Demonstrated ability with external relationship development;
Demonstrated ability with negotiations;
Demonstrated ability to build payer/customer relationship and loyalty.
Proven ability to lead, persuade, influence and negotiate particularly as it relates to customer relationships and business development
Experience partnering and influencing C-Suite leaders
Strong interpersonal skills and ability to build lasting client relationships.Solid understanding of health plan operations, and how they think and make decisions.
A track record of initiative, creativity and motivation to surpass challenging performance goals
Entrepreneurial drive, record of accomplishment of initiative, personal responsibility, and ownership of work to meet monthly, quarterly and annual financial goals in a high growth organization.
Strong communicator and presenter.
Ability to present business and technical results clearly, completely and accurately.
Exceptional negotiation, presentation, and listening skills